LEGACY CARE HOMES LLC NPI 1174850838

NPI Information

  • NPI: 1174850838
  • Provider Name: LEGACY CARE HOMES LLC
  • Classification: Assisted Living Facility - 3104A0625X
  • Specialization: Assisted Living, Mental Illness
  • Entity Type: Organization
  • Doing Business As: LEGACY HOUSE
  • Address: 605 JOHNSON ST
    RED BLUFF, CA
    ZIP 96080
  • Phone: (530) 529-2279

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NPI Details

LEGACY CARE HOMES LLC is an assisted living and mental illness assisted living facility in Red Bluff, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. LEGACY CARE HOMES LLC NPI is 1174850838. The provider is registered as an organization entity type.
The provider Is Doing Business As Legacy House.

The provider's business location address is:

605 JOHNSON ST
RED BLUFF, CA
ZIP 96080-720
Phone: (530) 529-2279

The provider's authorized official is David I Nervo .
The authorized official title is Owner and has the following contact phone number (530) 365-6889.

The enumeration date for this NPI number is 11/17/2009 and was last updated on 11/17/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13104A0625XAssisted Living FacilityAssisted Living, Mental Illness525002203CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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